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Pathology: PAP CODING with V22.1

Robin Posted Fri 13th of August, 2010 15:42:23 PM

New to pathology coding.
How do you code a pap smear CPT 88142 & HPV 87621, when given only the clinical info as v22.1, 6235. I have been adding v72.31 and v73.81 to the HPV. Not sure if this is correct.

Thanks for any help.

SuperCoder Answered Fri 13th of August, 2010 19:23:58 PM

6235 means 623.5 -- that's the finding -- vaginal discharge (was this a problem ob visit -- you would link that complaint to the EM)
v22.1 is for pregnancy supervision.

usually you use V76.2 with a screening Pap and findings from the lab are in the 795.0x or 795.1 range

V72.31 is for the annual exam and should be linked to that. V73.81 is for the HPV screen.

Jen Godreau, CPC, CPEDC
Content Director, Supercoder.com

Robin Posted Mon 16th of August, 2010 08:26:35 AM

Thank you for responding. I code for the pathology group. The info I receive info from the pathlogist the clinical is written 623.5 & v22.1 everything is negative on the cytology review. And the only diag. I can use is the 623.5 & v22.1 I know that I can't use v22.1 as primary and 623.5 will be denied on the 87621.

So if I add the V76.2 and the v73.81 along with 623.5,v22.1 to CPT 87621would I be correct in doing so.

I also sometimes have problems with medicare not paying the 87621 when I use the v72.31 andv73.81`. Would you have any info. on how to code PAPs. It so confusing sometimes

Thank you again,
Robin Kublin, CPC

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